Individual
VIVECA MALDONADO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2050 PONCE BY PASS, SUITE 200, PONCE, PR 00716-1911
(787) 259-7059
(787) 848-4806
Mailing address
2050 PONCE BY PASS STE. 200, PONCE, PR 00717
(787) 259-7059
(787) 843-8802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207
PR
Other
Enumeration date
06/02/2006
Last updated
06/07/2016
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